Bladder rupture from external trauma: diagnosis and management |
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Authors: | Joseph N. Corriere Jr. Carl M. Sandler |
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Affiliation: | (1) Departments of Surgery and Radiology, The University of Texas, Houston, The Texas Medical Center, Houston, Texas, USA, US;(2) Suite 6.018, 6431 Fannin Street, Houston, TX 77030, USA Tel.: +1-713-500-7320, US |
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Abstract: | Rupture of the bladder from external trauma is usually due to a blow to the abdomen when the bladder is distended or associated with a fractured pelvis. The diagnosis is made by performance of a retrograde cystogram and observation of contrast extravasation. An intravenous contrast study is not acceptable. All patients with an intraperitoneal bladder rupture should have formal repair. Extraperitoneal bladder ruptures may be treated with catheter drainage if the urine clears of blood promptly, the catheter drains well, and the bladder neck is not involved in the injury. Otherwise, formal repair is mandatory. |
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